NICOLE ATANASOFF (NPI# 1245747971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245747971 |
| Entity Type | Individual |
| Full Name | NICOLE ATANASOFF |
| Credential | APN |
| Practice Address |
1511 N Blackhawk Blvd Rockton IL 61072-1513 |
| Mailing Address |
2222 E State St Ste 209 Rockford IL 61104-1572 |
| Practice Telephone | 8159888500 |
| Practice Fax Number | 8159775956 |
| Mailing Telephone | 8159888500 |
| Mailing Fax Number | 8159775956 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
041.393947 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1511 N BLACKHAWK BLVD |
| City | ROCKTON |
| State | IL |
| Zip Code | 61072-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987886 | Vasil Nika | Family Medicine | 1511 N Blackhawk Blvd, University Primary Care Clinic @ Rockton, Rockton, IL 61072-1513 | 2005-10-21 |
| 1588964712 | Carole J Eatock | Nurse Practitioner | 1511 N Blackhawk Blvd, Rockton, IL 61072-1513 | 2010-10-21 |
| 1952348831 | Board of Trustees of The University of Illinois | Family Medicine | 1511 N Blackhawk Blvd, Rockton, IL 61072-1513 | 2006-06-01 |
| 1316912462 | Leslie A Dean | Family Medicine | 1511 N Blackhawk Blvd, Univ Primary Care Clinic @ Rockton, Rockton, IL 61072-1513 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822649 | Brianna Helene Jensen | Specialist/Technologist | 11746 Deacon Dr, Rockton, IL 61072 | 2017-03-13 |
| 1891085767 | James Adrian Fogarty | Psychologist | 122 S. Prairie St. Suite A, Rockton, IL 61072 | 2011-04-13 |
| 1871623447 | Wal-mart Stores, Inc Dba Wal-mart | Technician/Technologist | 4781 E. Rockton Rd., Rockton, IL 61072 | 2007-03-06 |
| 1215070487 | Shelly L Patchett | Social Worker | 1107 N Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 | 2007-02-15 |
| 1245301472 | Brandi M Lander | Counselor | 1107 N. Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 | 2006-11-10 |
| 1033551320 | Stateline Counseling Services LLC | Social Worker | 1107 N Blackhawk Blvd, Suite 8, Rockton, IL 61072-1500 | 2013-07-26 |
| 1215251061 | Kathleen Beth Mcguire | Counselor | 1116 Cannell Ct, Rockton, IL 61072-1551 | 2010-03-23 |
| 1467869883 | Crissymartinez Martinez | Registered Nurse | 603 Queens Ct, Rockton, IL 61072-1608 | 2014-07-17 |
| 1124220686 | Rockton School District 140 | Local Education Agency (LEA) | 1050 E Union St, Rockton, IL 61072-1628 | 2007-06-05 |
| 1851805907 | Laura Erwin | Speech-Language Pathologist | 1050 E Union St, Rockton, IL 61072-1628 | 2017-11-28 |
| Find all providers in zip 61072 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
| 1710592175 | Mary Maloney | Nurse Practitioner | 348 Westglen Dr, Glen Carbon, IL 62034-1002 | 2020-09-12 |
| 1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
| 1083222368 | Izolda Rosario | Nurse Practitioner | 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 | 2020-07-22 |
| 1043832785 | Melanie Glander | Nurse Practitioner | 18357 Cowing Ct, Homewood, IL 60430-3332 | 2020-05-16 |
| 1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
| 1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
| 1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
| 1891358222 | Kelly Jo Erke | Nurse Practitioner | 20830 N 1970 East Rd, Danville, IL 61834-6228 | 2019-04-22 |
| 1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.